Dr. Sanda Moldovan Beverly Hills Periodontist 2015-08-28T18:47:28Z http://drsandamoldovan.com/feed/atom/ WordPress Dr. Sanda <![CDATA[What I Learned From My Summer Trip – Halotherapy]]> http://drsandamoldovan.com/?p=823 2015-08-23T17:27:26Z 2015-08-23T17:27:26Z I decided last minute to take a trip to Romania, so I couldn’t resist to book a 5 day trip to a local balneotherapeutic resort in the Carpathian Alps of Transylvania. Romania has the most resorts of this sort compared to other European countries. The therapeutic salt water in the area is know for its

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I decided last minute to take a trip to Romania, so I couldn’t resist to book a 5 day trip to a local balneotherapeutic resort in the Carpathian Alps of Transylvania. Romania has the most resorts of this sort compared to other European countries. The therapeutic salt water in the area is know for its curative properties for different aches and pains, as well as detoxification, considering that the lungs and the skin are two of the largest detoxification organ we have.

But this experience I’m about to share, I’ve never seen or experienced before. My mom and I decided to visit a local salt mine turned into underground city for halotherapy. The place is located in Ocnele Mari. Once we got there, we were taken by bus 29 meters into the ground. When the gates opened, we were truly impressed. The ceiling was 20 feet high and the area was over 40,000 sq meters, with 2 restaurants, a race track, movie theater, art gallery, store, basketball court, soccer and other games. All undergrounds, surrounded by massive walls of salt.

What is halotherapy?

Salt is known to have a bactericidal and cleansing effect, partly due to it’s negatively charged ions. By breathing in the salt aerosols, the lungs detoxify and the immune system strengthens. Halotherapy is used to prevent as well as treat certain conditions. Doctors recommend it for:

  • respiratory problems, such as asthma, bronchitis, sinusitis, emphysema, ear and throat infections, sleep apnea
  • nervous system problems, such as stress, chronic fatigue, insomnia, depression, anxiety
  • skin problems such as eczema, psoriasis, acne and dermatitis
  • digestive problems, including oral infections, such as thrush
  • endocrine problems, including thyroid issues and metabolic problems
  • smoker’s detoxification

When in the salt mines, it was recommended to breathe through the nose and through the mouth, so that the mucosa of the mouth and throat can come in contact with aerosols as well. The size of the salt particles suspended in the air are between 0.1 and 0.9 microns. They stick to the skin or mucosa surface making the cellular membrane become more fluid and elastic, cleaning out any infection in the areas exposed to the aerosols. 30 minutes is all that’s needed to get the benefits of salinotherapy, but it doesn’t hurt to stay longer.

The 4 main actions halotherapy has on the body are:

  • purifying the respiratory passages
  • strengthening the immune system
  • detoxifying the body
  • regeneration of skin and mucous membranes

There are some contraindications to salt therapy: hypertension, lung cancer, recent heart attack or stroke, hyperthyroidism, pregnancy. If you are claustrophobic, it is also advised to avoid the salt mines. Some spas in United States have recreated the atmospheric environment of a salt mine, and this is a good way to experience the benefits of halo therapy. But if you get a chance to visit the salt mines, it is quite an experience!

In great health,
Dr. Sanda

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Dr. Sanda <![CDATA[When to Choose Titanium vs Zirconia Dental Implants]]> http://drsandamoldovan.com/?p=795 2015-07-30T22:35:00Z 2015-07-30T22:34:05Z Titanium has gained a tremendous amount of popularity in the last 20 years, in both medical and dental fields. From hip replacement to knee replacement to dental implants, titanium has demonstrated high success rates in millions of patients. It is successful because...

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Titanium has gained a tremendous amount of popularity in the last 20 years, in both medical and dental fields. From hip replacement to knee replacement to dental implants, titanium has demonstrated high success rates in millions of patients.

It is successful because it is highly resistant to corrosion and the cells love to attach to its surface, a phenomenon seen under high-resolution microscopy. The most common risk associated with dental implant placement is infection, especially since there’s a high number of bacteria in the oral cavity. The risk of infection can be minimized by taking a prophylactic antibiotic one hour prior to your procedure and sometimes even for a few days following your procedure.

But what about a titanium allergy? Some practitioners believe that the titanium allergy does not exist. An allergic reaction is an excessive immune reaction when coming in contact with a certain substance. Some researchers believe that if a patient suffers from multiple metal allergies, then they have more of a likelihood to develop a titanium hypersensitivity. It is advisable that if you have multiple metal allergies to get tested in order to avoid failure of an implied due to an allergic reaction to titanium.

In the 14 years I’ve been practicing, I have never seen a true titanium allergy. A dental implant fails either due to infection or overload, very rarely due to an allergy to titanium. Very few tests are available to determine the titanium allergy. The most accurate to date is MELISA test, which is a blood test. However, this fast can you give false positives.

If someone is allergic to titanium, then I recommend zirconia dental implants or non-metal dental implants. Zirconia dental implants are actually ceramic dental implants, they are not metal. Because they are ceramic, they can break more easily than the titanium. Because of this, we see a higher failure rate of that zirconia implants when compared to the titanium dental implants.

With advances in technology, this will change. Since we have so much more research about titanium dental implants, I do recommend these instead of the zirconia dental implants, because they generally last longer.

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Dr. Sanda <![CDATA[Are You Honest About Flossing?]]> http://drsandamoldovan.com/?p=770 2015-06-27T03:05:05Z 2015-06-26T19:37:44Z A new national survey released this month reveals 27 percent of U.S. adults admit they lie to their dentist about how often they floss their teeth. Out of a little over 2000 people, more than one-third 36 percent would rather do an unpleasant activity like cleaning the toilet (14 percent) over daily flossing.

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A new national survey released this month reveals 27 percent of U.S. adults admit they lie to their dentist about how often they floss their teeth. Out of a little over 2000 people, more than one-third 36 percent would rather do an unpleasant activity like cleaning the toilet (14 percent) over daily flossing. The survey was conducted online in March by Harris Poll on behalf of the American Academy of Periodontology (AAP). Clearly, we need to spread the word about water flossing with an oral irrigator! Watch this video and see how easy it can be:

The new survey lists unpleasant activities Americans would choose over flossing: washing a sink full of dirty dishes (18 percent) or waiting in a long check-out line (14 percent). Nearly one in ten U.S. adults would rather sit in gridlock traffic for an hour or do their taxes (9 percent each).

If you were to pick one, flossing is more important than brushing. Just imagine you are washing your hands, but never clean in between the fingers. How would you feel? Your hands would start to smell after a while, just like bad breath can develop if regular flossing is avoided. Lack of flossing can lead to gum disease or periodontal disease, which is a chronic inflammatory disease caused when bacteria in plaque below the gum line lead to swelling, irritation, and possibly receding gums and tooth loss. Periodontal disease has been linked to many chronic diseases, including diabetes, cardiovascular disease, rheumatoid arthritis, erectile dysfunction, Alzheimer’s disease, and even cancer. Periodontal disease is hardly ever discussed, resulting in a lack of urgency for people to take action in treating it, probably because it doesn’t hurt, even in it’s advanced stages.

Are you honest about flossing?According to the survey, among the top 10 U.S. markets, Chicagoans are more likely to opt for an hour of gridlock traffic over daily flossing. However, New Yorkers are more likely than those in other metro areas to include flossing in their personal care routine. When i work in New York, I do find floss on the street more often than in LA!

What about the South? Those who live in Atlanta are more likely than those in other top metro regions to be honest with their dentist about their flossing routine. Atlantans also are more likely than those in other top metro regions to tell friends when they have something stuck in their teeth. On the contrary, those who live in D.C. are more likely than those in other top metro regions not to alert a friend of any potentially embarrassing lunch leftovers.

So how do we treat gum disease today? There are more than 500 bacterial species that can be found in plaque, and brushing alone does not remove the bacteria that live below the gum line, especially once periodontal disease has set in. Poor oral hygiene is a primary cause of periodontal disease, but several other risk factors play a role in the development and progression of the disease including smoking, age, and genetics. The earlier we treat it, the better the results. In my office, I treat periodontal disease with laser gum surgery, which is much more comfortable than the traditional procedures. I also use ozone to eliminate the bacteria which live inside the bone, tissue and teeth. With an appropriate diagnosis and treatment, the damage from periodontal disease is reversible in many cases.

For more information on flossing contact Dr. Sanda Moldovan to schedule a consultation.

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Phil Pallen <![CDATA[What If My Implant Fails?]]> http://drsandamoldovan.com/?p=536 2015-06-16T11:01:50Z 2015-05-12T13:35:52Z I was invited to give a lecture at NYU together with Dr. Olga Malkin. We presented cases that have to do with transitioning someone from a full mouth of teeth into dental implants without the use of a denture. Traditionally, someone who is losing all their teeth due to decay from dry mouth, or rampant

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all_on_4

I was invited to give a lecture at NYU together with Dr. Olga Malkin. We presented cases that have to do with transitioning someone from a full mouth of teeth into dental implants without the use of a denture. Traditionally, someone who is losing all their teeth due to decay from dry mouth, or rampant periodontal disease, or an accident, will go through a temporary phase of wearing a removable denture. However, things have changed.

Some of my patient’s biggest year is going into a denture, especially women. It’s a Hallmark that says “now you are old”. Professor Branemark, the inventor of dental implants said that that “no one has to die with their teeth next to their bed in a glass”.

That dream he had, is now a reality. Scientific evidence has shown that dental implants placed immediately following the removal of teeth is predictable and highly successful. Our lecture and NYU showed success story after a success story of transitioning patients smoothly into All-on-4 prostheses.

One of the important questions that came up was what do we do when an implant fails, given the fact that there are four implants supporting a full set of teeth.

Even though this procedure has been over 92% successful in the last 20 years, implant failure can happen, but there are ways to get around it. What exactly does it mean when an implant fails? It either can get infected, or it gets loose from too much force. If one implant gets loose, then we simply replace, and engage the prosthesis on it that same day.

But it is important to prevent these things from happening in the first place. As a patient, it is important to follow your doctor’s instructions for oral hygiene immediately post implant placement. A pulsating water flosser, such as the WaterPik, is a must! There’s lots of bacteria in your mouth which can affect the health around an implant, so it’s important to keep your mouth clean. In the first four months following implant placement, there is a period of osseointegration, when the implant fuses to the bone. During this time, it is important to eat soft foods and don’t overuse of them. The bone is not fully ready for maximum bite force until four months post surgery.

To see if you’re candidate for this dental implant procedure watch this video:

In great health,
Dr. Sanda

For more information on dental implants contact Dr. Sanda Moldovan to schedule a consultation.

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Dr. Sanda <![CDATA[Falling – How to Prevent It and Protect Your Teeth]]> http://drsandamoldovan.com/?p=517 2015-06-16T11:05:16Z 2015-04-29T18:20:51Z Martha is a dear patient of mine in her late 60s. She is the caretaker of her husband, Bob, who is in his early 80s. He used to be a teacher, and was never active. His muscles started atrophying at his balance slowly went downhill. He is unfortunately confined to a wheelchair now, and slowly declining

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危険

Martha is a dear patient of mine in her late 60s. She is the caretaker of her husband, Bob, who is in his early 80s. He used to be a teacher, and was never active. His muscles started atrophying at his balance slowly went downhill. He is unfortunately confined to a wheelchair now, and slowly declining in his health. Martha was telling me that he had two falls in the last six months and both times he knocked out his teeth. The first time on the right side and the second time on the left side, where he had a dental bridge made it just in the last two years. Martha is very frustrated now because of the expense she is incurring.

According to a new study, falls among the elderly are on the rise, by almost 30%. Falls are the real leading cause of fatal injuries, not only tooth related, but also fractures, subluxations, and worse, internal bleeding. Falls result in more than 2.4 million injuries treated in the emergency departments annually, out of which approximately 21,000 result in death.

The Center for disease control and prevention gives the following advice to prevent falls:

  • get regular exercise to improve strength and balance
  • some medications may cause dizziness, make sure you read the label.
  • get your eyes checked and where are your glasses on a regular basis
  • remove things that you can trip over at home, such as shoes on the floor and small rugs.
  • install handrails and lights on staircases
  • use tape to keep rugs from slipping
  • put the grab bars in the tub, shower and next to the toilet
  • put nonslip mats in the tub and shower
  • improve the lighting in your home
  • avoid wearing slippers and going barefoot in the house
  • think about wearing an alarm device that will bring help in case you fall and can’t get up

But how do we prevent dental injuries? I suggested to Martha that we make him a day guard, which is similar to a nightguard, but a little bit thinner, that Bob could wear throughout the day. It is almost like a sports guard, that would protect his teeth against an impact, in case of falling. I also recommended her to hire a personal trainer, who specializes in elderly. Bob can slowly get his balance back this way.

If you have someone in a wheelchair who is prone to falling, ask your dentist about a day guard, to protect their teeth, and their pocket book from expensive dental work.

In great health,
Dr. Sanda

To discuss your situation and dental options one on one, contact Dr. Sanda Moldovan to schedule a personal consultation.

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